Individual
PAUL YOUNG EDEMOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(571) 242-6491
Mailing address
26467 NETWORK PL, CHICAGO, IL 60673-1264
(773) 542-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036164703
IL
Other
Enumeration date
06/12/2020
Last updated
06/26/2023
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